Individual
DR. JACOB JAMES MANTEUFFEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301086163
MI
207QA0401X
Addiction Medicine (Family Medicine) Physician
4301086163
MI
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
4301086163
MI
Other
Enumeration date
05/24/2007
Last updated
01/16/2024
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